Managed Care Provider Relations Manager jobs in Maine

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Adult Care Provider
  • Capital Community Care
  • Augusta, ME FULL_TIME
  • About us

    We are a professional team striving to endeavor to advance holistic health and wellness by generating a collective collaboration of innovative and inspired individuals, communities, and partners that encourages and empowers mental, physical, emotional, spiritual, financial, environmental, and societal wellness.

    Qualifications

    - Provisional MHRT-C (Required) or eligibility for licensure in Maine.

    - Bachelor's degree in social work or a related field (preferred)

    - Knowledge of community resources and systems of care for mental health

    - Strong communication and interpersonal skills

    - Ability to work both independently and collaboratively with interdisciplinary teams.

    - Ability to manage a case load and meet required documentation standards.

    - 1 year of case management experience (preferred)

    - Intermediate level computer experience

    Benefits:

    * $5000 Sign-on bonus

    * Weekly pay

    * Mileage reimbursement

    * Flexible schedule

    * Paid the 8 major holidays

    * Working in a team-oriented environment

    * Medical, dental insurances for full-time staff

    * Agency issued laptop and cell phone

    * Paid clinical supervision

    * Paid job specific trainings

    Role Description

    General Description of Responsibilities: The Adult Care Provider (ACP) provides services that focus on the specific needs of adults with behavioral health diagnoses and decreased ability to function independently in their homes and in the community, The ACP is responsible for developing the individual service plan to ensure that the services are approved, and will also work collaboratively with interdisciplinary teams, including psychiatrists, nurses, and other clinicians to meet client's needs by the best ways.

    Job Types: Full-time, Part-time

    Pay: $22.00 - $30.00 per hour

    Expected hours: 20 – 40 per week

    Benefits:

    • Dental insurance
    • Flexible schedule
    • Health insurance
    • Mileage reimbursement
    • Paid orientation
    • Paid time off
    • Vision insurance

    Schedule:

    • 4 hour shift
    • 8 hour shift
    • Monday to Friday

    Application Question(s):

    • Do you have active MHRT-C ?

    Experience:

    • Caregiving: 1 year (Preferred)

    Ability to Commute:

    • Augusta, ME 04330 (Required)

    Ability to Relocate:

    • Augusta, ME 04330: Relocate with an employer provided relocation package (Required)

    Work Location: Hybrid remote in Augusta, ME 04330

  • Just Posted

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Outpatient Primary Care Provider
  • Penobscot Community Health Care
  • Winterport, ME FULL_TIME
  • Penobscot Community Health Care is seeking an experienced, Board-certified Family Nurse Practitioner or Physician Assistant to join a well-established primary care practice at Winterport Community Hea...
  • 10 Days Ago

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Primary Care Provider - MD (Family Practice)
  • EASTPORT HEALTH CARE INC
  • Machias, ME FULL_TIME
  • We are Growing and Need You!Sign-on bonus! 10K Moving Expense! Great Rural Community! Loan Repayment!Title: EHC PRIMARY CARE PROVIDER, MD - Family MedicinePosition Category: Contract/Salaried/ExemptSu...
  • 10 Days Ago

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Temporary Provider Services Representative
  • Martin's Point Health Care
  • Portland, ME TEMPORARY
  • Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," ...
  • 7 Days Ago

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URGENT: Elder Care Provider
  • ElderCare.com
  • Auburn, ME FULL_TIME
  • This job offer is not available in your country. My cell,707-3 reach me 42 on 0226. We are a family in Auburn, Maine looking for a compassionate and dedicated elder care provider to join us. We have a...
  • Just Posted

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URGENT: Elder Care Provider
  • ElderCare.com
  • Brunswick, ME FULL_TIME
  • This job offer is not available in your country. My cell,707-3 reach me 42 on 0226. Hey there! Our family in Brunswick, Maine is looking for an elder care provider to join our team. We are in need of ...
  • Just Posted

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Relationship Manager
  • Ascensus
  • Greensboro, NC
  • Newport, an Ascensus company, helps employers offer their associates a more secure financial future through retirement p...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • GROVER GAMING
  • Elyria, OH
  • Job Description Job Description Job Title: Relationship Manager Department: Ohio Sales Reports To: Sales Manager Status:...
  • 6/11/2024 12:00:00 AM

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Relationship Manager
  • Allium Financial Advisors, LLC
  • Lake Oswego, OR
  • Summary This position is responsible for partnering with Financial Advisors to help manage client relationships by perfo...
  • 6/10/2024 12:00:00 AM

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Relationship Manager
  • Flourish
  • New York, NY
  • Flourish was founded in 2017 with the goal of helping financial advisors to better secure the financial futures of their...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Wind River Payments
  • Madison, WI
  • As a Relationship Manager at Wind River Payments (WRP), you will thrive on building strong, long-term client relationshi...
  • 6/9/2024 12:00:00 AM

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Relationship Manager
  • Palmetto
  • Company Description Recognized by Forbes as one of the fastest-growing private companies in the United States, Palmetto ...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Valley Bank
  • Jacksonville, FL
  • Why you should consider applying to this opportunity: You're excited to build relationships with Commercial & Industrial...
  • 6/7/2024 12:00:00 AM

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Relationship Manager
  • Team Select Home Care
  • Evansville, IN
  • Overview: You can apply by texting TSC to 97211 Now offering DailyPay! Ask us about it! Are you looking for an exciting ...
  • 6/7/2024 12:00:00 AM

To the south and east is the Atlantic Ocean and to the north and northeast is New Brunswick, a province of Canada. The Canadian province of Quebec is to the northwest. Maine is both the northernmost state in New England and the largest, accounting for almost half of the region's entire land area. Maine is the only state in the continental US to border only one other American state (New Hampshire to the South and West). Maine is the easternmost state in the United States in both its extreme points and its geographic center. The town of Lubec is the easternmost organized settlement in the United...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$98,615 to $142,256

Managed Care Provider Relations Manager in Trenton, NJ
Rizk says McKesson has created a collegial relationship by reaching out to providers.
January 03, 2020
Managed Care Provider Relations Manager in Gary, IN
Aetna (57% favorable/37% unfavorable) has turned around providers by changing leadership and addressing provider concerns.
February 24, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019